Effects of the COVID-19 Pandemic on Stroke Patients
作者： Hammad Ghanchi , Ariel Takayanagi , Paras Savla , Omid R Hariri , Emilio C Tayag
DOI: 10.7759/CUREUS.9995
关键词: Emergency medicine 、 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 、 Medicine 、 Stroke volume 、 Pandemic 、 Stroke patient 、 Coronavirus disease 2019 (COVID-19) 、 Stroke 、 Health care 、 Emergency department
摘要: Introduction The severe acute respiratory syndrome coronavirus 2 (SARS2-CoV-2) induced pandemic (COVID-19 pandemic) has affected healthcare in all aspects, including stroke care. We sought to investigate this effect with analysis of our hospital's treatment protocols as well volume on state, regional, and national levels. Methods This was a retrospective review prospectively collected data from registry assess the impact SARS2-CoV-2 patients presenting facility. Demographics included age, sex, race, National Institute Health Stroke Scale (NIHSS) admission, discharge modified Rankin Score (mRS), type (ischemic, hemorrhagic, or transient ischemic attack), time symptom onset, initial imaging. Data were also stratified by date comparison made between intra-COVID-period (March April 2020), pre-COVID period 2019), peri-COVID (January February 2020). To determine trends level, we utilized Get Guidelines (GWTG) database compare volumes pre-COVID, peri-COVID, intra-COVID periods hospital, California hospitals, West Pacific regions. Results There significant increase last known (LKWT) arrival emergency department (ED) (LKWT door) ED obtaining computed tomography (CT) head (door CT) March 2020 compared 2019 (p=0.0220 p=0.0475, respectively). significantly fewer attacks (TIAs) hospitals January (p=0.0417). Similarly, there TIAs (p=0.0360). decrease seen at hospital both frame comparisons Regional Hospitals (p=0.0111, p=0.0215, p=0.0414, Conclusion care been disrupted COVID-19 worldwide. identified delay LKWT door CT institution. statistically final diagnosis TIA during March-April window, suggesting that some minor symptoms may not be midst pandemic. Strategies minimize delays maximize functional recovery must continue evolve new challenges are met
cureus.com
sci-hub.st 参考文章(12)
Tanvir Chowdhury Turin, Yoshikuni Kita, Yoshitaka Murakami, Nahid Rumana, Hideki Sugihara, Yutaka Morita, Nobuyoshi Tomioka, Akira Okayama, Yasuyuki Nakamura, Robert D. Abbott, Hirotsugu Ueshima, Higher stroke incidence in the spring season regardless of conventional risk factors: Takashima Stroke Registry, Japan, 1988-2001. Stroke. ,vol. 39, pp. 745- 752 ,(2008) , 10.1161/STROKEAHA.107.495929
A. Meretoja, D. Strbian, S. Mustanoja, T. Tatlisumak, P. J. Lindsberg, M. Kaste, Reducing in-hospital delay to 20 minutes in stroke thrombolysis Neurology. ,vol. 79, pp. 306- 313 ,(2012) , 10.1212/WNL.0B013E31825D6011
Houman Khosravani, Phavalan Rajendram, Lowyl Notario, Martin G. Chapman, Bijoy K. Menon, Protected Code Stroke: Hyperacute Stroke Management During the Coronavirus Disease 2019 (COVID-19) Pandemic. Stroke. ,vol. 51, pp. 1891- 1895 ,(2020) , 10.1161/STROKEAHA.120.029838
Alana M. Flexman, Arnoley S. Abcejo, Rafi Avitsian, Veerle De Sloovere, David Highton, Niels Juul, Shu Li, Lingzhong Meng, Chanannait Paisansathan, Girija P. Rath, Irene Rozet, Neuroanesthesia Practice During the COVID-19 Pandemic: Recommendations From Society for Neuroscience in Anesthesiology and Critical Care (SNACC). Journal of Neurosurgical Anesthesiology. ,vol. 32, pp. 202- 209 ,(2020) , 10.1097/ANA.0000000000000691
Rima M. Dafer, Nicholas D. Osteraas, Jose Biller, Acute Stroke Care in the Coronavirus Disease 2019 Pandemic. Journal of Stroke & Cerebrovascular Diseases. ,vol. 29, pp. 104881- ,(2020) , 10.1016/J.JSTROKECEREBROVASDIS.2020.104881
Basile Kerleroux, Thibaut Fabacher, Nicolas Bricout, Martin Moïse, Benoit Testud, Sivadji Vingadassalom, Héloïse Ifergan, Kévin Janot, Arturo Consoli, Wagih Ben Hassen, Eimad Shotar, Julien Ognard, Guillaume Charbonnier, Vincent L’Allinec, Alexis Guédon, Federico Bolognini, Gaultier Marnat, Géraud Forestier, Aymeric Rouchaud, Raoul Pop, Nicolas Raynaud, François Zhu, Jonathan Cortese, Vanessa Chalumeau, Jérome Berge, Simon Escalard, Grégoire Boulouis, Cyril Chivot, Riyad Hanafi, Anne Pasco, Jean-Baptiste Girot, Alessandra Biondi, Fortunato Di Caterino, Panagiotis Primikiris, Giovanni Vitale, Louise Bonnet, Florent Gariel, Xavier Barreau, Sabrina Debruxelles, Ludovic Lucas, Patrice Menegon, Stéphane Olindo, Mathilde Poli, Pauline Renou, Sharmila Sagnier, Igor Sibon, Louis Veunac, Jean-Christophe Gentric, Charlotte Barbier, Marion Boulanger, Julien Cogez, Sophie Guettier, Romain Schneckenburger, Emmanuel Touze, Mariette Delaitre, Pablo Lebendinsky, Mariano Musacchio, Frédéric Ricolfi, Pierre Thouant, François Caparros, Barbara Casolla, Lucie Della Schiava, Nelly Dequatre, Hilde Henon, Marco Pasi, Apolline Kazemi, Fouzi Bala, Laurent Estrade, Charbel Mounayer, Susanna Saleme, Francisco Macian-Montoro, Omer Eker, François Cotton, Karine Blanc-Lasserre, Serkan Cakmak, Tae-Hee Cho, Laurent Derex, Anne-Claire Lukaszewicz, Laura Mechtouff, Norbert Nighoghossian, Frédéric Philippeau, Roberto Riva, Francis Turjman, Anne-Evelyne Vallet, Xavier Carle, Philippe Dory-Lautrec, Anthony Reyre, Jean-François Hak, Hervé Brunel, Amel Benali, François-Louis Collemiche, Cyril Dargazanli, Frederico Cagnazzo, Imad Derraz, Caroline Arquizan, Lucas Corti, Vincent Costalat, Nicolas Gaillard, Grégory Gascou, Pierre-Henri Lefèvre, Isabelle Mourand, Carlos Riquelme, Anne Laure Derelle, Benjamin Gory, Liang Liao, Romain Tonnelet, René Anxionnat, Mathieu Bonnerot, Serge Bracard, Marc Braun, Lisa Humbertjean, Jean-Christophe Lacour, Gioia Mione, Sophie Planel, Sébastien Richard, Nolwenn Riou-Comte, Emmanuelle Schmitt, Romain Bourcier, Lili Detraz, Hubert Desal, Pierre-Louis Alexandre, Benjamin Daumas-Duport, Cédric Lenoble, Monica Roy, Oghuzan Coskun, Frederico Di Maria, Bertrand Lapergue, Georges Rodesch, Adrien Wang, David Weisenburger-Lile, Sergio Zimatore, Nadia Ajili, Géraldine Buard, Serge Evrard, Lucas Gorza, Julie Gratieux, Morgan Leguen, Sylvie Marinier, Fernando Pico, Roxanna Poll, Haja Rakotoharinandrasana, Philippe Tassan, Maya Tchikviladze, François Delvoye, Solène Hebert, Raphaël Blanc, Gabriele Ciccio, Jean-Philippe Desilles, Benjamin Maier, Mikael Mazighi, Michel Piotin, Hocine Redjem, Stanislas Smajda, Malek Ben Maacha, Ovide Corabianu, Thomas De Broucker, Olivier Ille, Eric Manchon, Michael Obadia, Mickael Obadia, Igor Raynouard, Roxanne Peres, Candice Sabben, Didier Smadja, Guillaume Taylor, Laurie-Anne Thion, Augustin Lecler, Laurent Spelle, Christian Denier, Jildaz Caroff, Olivier Chassin, laurent Spelle, Laura Venditti, Armand Aymard, Jean Betty, Vittorio Civelli, Michael Eliezer, Matteo Fantoni, Emmanuel Houdart, Marc-Antoine Labeyrie, Jean-Pierre Saint Maurice, Erwah Kalsoum, Aurelien Pacini, Chawkat Ramadane, Titien Tuilier, Adrien Villain, Frédéric Clarencon, Vincent Degos, Ahmed Elhfnawy, Mahmoud Elhorany, Stéphanie Lenck, Kevin Premat, Nader-Antoine Sourour, Sonia Alamowitch, Flore Baronnet, Sophie Crozier, Sandrine Deltour, Anne Leger, Charlotte Rosso, Sandrine Deltour, Anne Leger, Charlotte Rosso, Nadya Pyatigorskaya, Christine Rodriguez Regent, Denis Trystram, Olivier Naggara, Pierre Seners, Guillaume Turc, Myriam Edjlali, Rémi Agbonon, Mohammed Alotaibi, Antoine Sonchet, Catherine Oppenheim, Jean François Meder, Joseph Benzakoun, Laurence Legrand, Cédric Fauché, Stéphane Velasco, Pierre François Manceau, Sebastien Solène Soize Moulin, François Eugene, Jean-Christophe Ferre, Christophe Paya, François Eugene, Jean-Yves Gauvrit, Sophie Langnier-Lemercier, Maria Lassale, helene Raoult, thomas Ronziere, Clément Tracol, Stéphane Vannier, Julien Burel, Julien Le Moal, Chrysanthi Papagiannaki, Mohamed Aggour, Marina Sachet, Claire Boutet, Remy Beaujeux, Anca Hasiu, Monica Manisor, Dan Mihoc, Stéphane Kremer, Charles Arteaga, Sébastien Gazzola, Jean Darcourt, Christophe Cognard, Fabrice Bonneville, Anne Christine Januel, Jean-Marc Olivot, Nicolas Raposo, Alain Viguier, Richard Bibi, Fakhreddine Boustia, Denis Herbreteau, Igor Maldonado, Ana-Paula Narata, Mechanical Thrombectomy for Acute Ischemic Stroke Amid the COVID-19 Outbreak: Decreased Activity, and Increased Care Delays. Stroke. ,vol. 51, pp. 2012- 2017 ,(2020) , 10.1161/STROKEAHA.120.030373
Jing Zhao, Hang Li, David Kung, Marc Fisher, Ying Shen, Renyu Liu, Impact of the COVID-19 Epidemic on Stroke Care and Potential Solutions. Stroke. ,vol. 51, pp. 1996- 2001 ,(2020) , 10.1161/STROKEAHA.120.030225
Shadi Yaghi, Koto Ishida, Jose Torres, Brian Mac Grory, Eytan Raz, Kelley Humbert, Nils Henninger, Tushar Trivedi, Kaitlyn Lillemoe, Shazia Alam, Matthew Sanger, Sun Kim, Erica Scher, Seena Dehkharghani, Michael Wachs, Omar Tanweer, Frank Volpicelli, Brian Bosworth, Aaron Lord, Jennifer Frontera, SARS-CoV-2 and Stroke in a New York Healthcare System. Stroke. ,vol. 51, pp. 2002- 2011 ,(2020) , 10.1161/STROKEAHA.120.030335
Kay-Cheong Teo, William C.Y. Leung, Yuen-Kwun Wong, Roxanna K.C. Liu, Anna H.Y. Chan, Olivia M.Y. Choi, Wing-Man Kwok, Kung-Ki Leung, Man-Yu Tse, Raymond T.F. Cheung, Anderson Chun-On Tsang, Kui Kai Lau, Delays in Stroke Onset to Hospital Arrival Time During COVID-19. Stroke. ,vol. 51, pp. 2228- 2231 ,(2020) , 10.1161/STROKEAHA.120.030105
Clemens M Schirmer, Andrew J Ringer, Adam S Arthur, Mandy J Binning, W Christopher Fox, Robert F James, Michael R Levitt, Rabih G Tawk, Erol Veznedaroglu, Melanie Walker, Alejandro M Spiotta, Delayed presentation of acute ischemic strokes during the COVID-19 crisis. Journal of NeuroInterventional Surgery. ,vol. 12, pp. 639- 642 ,(2020) , 10.1136/NEURINTSURG-2020-016299